Pharmacy Benefit Auditors

Pharmacy benefit auditors routinely review a pharmacy benefit plan to ensure there are no errors with the plan's administration.
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Truveris

Truveris

4.5 (1)
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Ongoing Pharmacy Oversight: Truveris offers independent pharmacy benefit oversight through comprehensive monitoring of pharmacy claims throughout the PBM contract lifecycle. Our solution systematically validates PBM performance against contract terms, ensuring compliance and identifying... Show More
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BMI Audit Services is now Lumelight

BMI Audit Services is now Lumelight

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Founded

1998

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0

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About BMI Audit Services is now Lumelight

We help organizations uncover who and what healthcare dollars are being spent on by digging into benefits data and verifying if:

- the right people are enrolled in the plan
- healthcare claims are accurate per plan design

At BMI, we understand the concerns you may have about whether third-party administrators are accurately processing healthcare claims or if enrolled members are truly eligible for their benefits. Our auditing services provide a comprehensive solution to ensure the integrity of your health plan and to guarantee fair and accurate benefits for all members. Additionally, our... Show More
RxResults

RxResults

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Founded

2008

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About RxResults

RxResults, the proven industry leader for Evidence-Based Pharmacy Risk Management, is uniquely positioned to help you identify health plan savings and mitigate risk.

A Pharmacy Risk Manager doesn't replace a PBM. It serves to enhance a PBM model as an advocate for the plan sponsor and its plan participants. Show More
Crumdale Partners

Crumdale Partners

5.0 (1)
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Founded

2014

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About Crumdale Partners

Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More
MedBill Management

MedBill Management

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>>>Pharmacy Claims Audits assess the accuracy of prescription drug claims payments in the same precise and comprehensive manner as our Medical Claims Audits. Pharmacy Claims Audits analyze the Pharmacy Benefit Manager’s (PBM) compliance... Show More
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Exouza

Exouza

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Founded

2019

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About Exouza

Exouza was founded by health and technology industry experts to leverage modern technology to develop a single platform that maximizes the value of member benefits to integrate all available programs in a single platform that quickly and efficiently improves the process of managing health and Rx delivery. Exouza's technology quantifies the value from each member's eligible program, sequences engagement in prioritized order, and manages participation so that the member and employer achieve maximum value. Each member and drug experience is different which makes the Exouza solution unique. Savings service and value are guaranteed.
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Integrated Prescription Management

Integrated Prescription Management

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Founded

2009

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About Integrated Prescription Management

IPM is now part of LucyRx

Integrated Prescription Management (IPM) is a full-service pharmacy benefits manager (PBM) that works with self-funded employer groups, brokers, and TPAs around the country. Known for our high-touch service, insightful analytics, and flexible benefit designs, we take a collaborative approach to controlling costs without compromising care. Show More
Kelly Benefits

Kelly Benefits

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Will not complete per Corp Comm 1.8.24 Show More
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Remedy Analytics

Remedy Analytics

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Founded

2013

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About Remedy Analytics

Remedy’s mission is to make prescription drugs more affordable and accessible for self-insured payors and patients for optimal health. It was built on the premise that in order to understand the true cost of a prescription drug and its utilization, access to data that every claim generates is essential, along with sophisticated analytics necessary to agnostically understand – and act on -- that data. Show More

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